tag:blogger.com,1999:blog-610428148049675668Tue, 09 Jun 2026 05:24:31 +0000MMCMTAS 2008MTAS MMC2011 NHS reforms coalition Lansley government targets nursesAmbulance diagnosisBBC MTAS shamblesBBC NHS MTASBBC beardBBC breast cancerBBC low remedyBBC maternal mortalityBBC radio 4 targetsBMA JDC MTASBMA MTAS patheticBMA MTAS tacit consentBMA MTAS true coloursBMA MTAS uncouplingBMA Remedy BMJ advertBMA Remedy debateBMA bite my arseBMA remedy bandwagonBMA vision dream imagineBMJ biasBacon IWGC Oxford MailBen Bradshaw parking NHSBill NHS LordsBlackBlair NHS BBC murdoch faustusBlair Toynbee NHS legacyBlair mediaBloggies 2008Blogging round up MMCBrave new labour nanny state MTASBritnell Mark NHS DoH PCTs scrap referral schemesBrown Darzi barefoot noctorCFISSA bbc mediaCMO DOH FOI medical regulationCMO FOICMO airline industry NHS terminal 5CMO letter MMCCMO letter student adviser MMCCMO regulation FOICMO regulation politicians medicalCMO resignCapio privatisation NHSCarol Black FOICoffey smell PCTs Darzi polyclinicsDarzi NHS oncology cancer bed cutsDarzi NHS polyclinics GP contractDarzi NHS reconfigurationDarzi NHS reform interim reportDarzi NHS review opinion leaderDarzi New Labour NHS hospitalsDarzi Opinion Leader DoHDarzi review 2008 ferret fancier responseDarzi review wolf sheep's clothing riding hoodDebbie Mellor DoH resignDilbert MMC communism principlesDoH FOI MMC tookeDoH FOI act DarziDoH PAs reform NHSDoH PFI scandalDoH april foolsDoH breaks lawDoH freedom information request MMCDoH high court remedyDoH privatise primary careDoH propaganda MTASDoH response Tooke report slimey rottenDoH wikipediaDoctors evil scum news shockerDr Grumble medical blogging UKEU free market healthEWTD MEE rotas disaster 2009EWTD training medicalEye consultant named surgeryFerret guide to Tooke 6 part MMCGMC government EU doctorsGMC medical immigration Gray inquest EU labour marketGMC right EU doctor registrationGP OOH letterGP contract NHS DoHGP screening private firms unethicalGilmore RCP MTAS turkeyGordon Brown PFI speechGordon Brown liar NHS stafforshire generalGraema Catto GMC proofHCPs quacks dangerous lethal injectionHMG NHS targetsHMG midwifes babies homebirthsHSJ propaganda magazine GrumbleHaN hospital at nightHansard MMC recordHealth Committe report MMC 2008Health Committee MTAS MMC crockard heardHealth committee 2008 Remedy Witch SamHealth committee marshall noiseHealth correspondentsHewitt Lansley questions mmcHewitt MMCHewitt SkyHewitt independentHewitt internal marketHewitt lies MMC MTASHewitt vindictiveHitchingbrook NHS sold off PFI RBS LloydsHolby cotyHospital coordinators night NHSHunt Hewitt liarsISTC suspended death patientISTCs dangerous BBC panoramaISTCs waste danger harm patientsIWGC i want great care Bacon rubbishIWGC i want great care orgJohn Black EWTDLabour Gordon Brown lies targets NHSLabour MTAS Brown JohnsonLabour education logic lackingLabour empowering the ignorantLabour targetsLabour vote NHS medical trainingLansley no method madness 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celebrationMTAS RCS presidentMTAS Remedy verdictMTAS abuse of candidatesMTAS d'oh breachMTAS data leakMTAS ditchedMTAS dolphin BMAMTAS farce review latestMTAS final decisionMTAS flawed MMCMTAS formMTAS galring security flawMTAS job offersMTAS judgement dayMTAS judicial review grounds remedyMTAS leaked documentMTAS lives onMTAS lost tribeMTAS more liesMTAS one year onMTAS parrot sketch review panelMTAS point whatMTAS propagandaMTAS resignMTAS revelationMTAS review panel FOIMTAS revolutionMTAS sarah thomasMTAS security breachMTAS smoking gunMTAS times letterMTAS tooke reviewMTAS worthing consultantsMark Britnell NHS bullyingMcCanns mediaMcKinsey report market flawed rubbishNHS Alan Johnson DarziNHS BMJ rapid responses commissioning swine flu tamifluNHS CBI Founadtion trainingNHS ConfederationNHS Darzi boardNHS Direct waste moneyNHS DoH MTAS floodsNHS FOI prescribing US policyNHS GP OOH reform spinNHS HMG reform choice MMCNHS Liam MTAS croniesNHS Medical blogging news round up 2008NHS NFR 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doctor suspended GMCPharmacy clinical practitioner dumbing downPhysicians assistants no evidencePrescott bulimia sympathy Campbell despressionPulse walk in centreRAB NHS HuntRCP appeasement PMETBRCS MTAS statementRCS ribiero withdraws review panelRemedy 1 GMC 0Remedy GMC caseRemedy MTAS BMA votesRemedy UK goes liveRemedy legal challengeReorganisation Commission NHS Quality CareRik Dagless Darkplace Garth MarenghiSir Liam CMO resignSir Liam MMC MTAS Commons Health CommitteeSpot wage NHSStreet DoctorSun discussion boardsThomas Stuttaford Dr Times censorshipTimes MTASTooke a summaryTooke ferret guide 2Tooke ferret part 3 MMCTooke reviewTooke review 2008Tooke review MMC principlesTooke training Darzi debateToynbee RevillVTE dvts pes death thromboembolism HMG propagandaVTE thrombembolism spin propagandaVirgin healthcare DoH procurementWICs nurse led Darzi expensive farceWhite PaperZ whistleblowing NHSabani gray death gmc eu lawabortion fundamentalistsabuse of statisticsaccountatble beckett crockardalan johnson liar hansardalcohol Nutt bbcambulance service overstretched nhsantidepressants useless placebo junkappendicitis hospital sleep restbackback ferret fancier NHS reforms white paper mckeithbad research WHO darzi surgcial checklistbad science ben goldacre mckeith gillianbad science diabetes nurse specialistsbanana republic CMO report consultationbbc dishonest story consultant paybbc government bullshit lies gpsblair legacyblogging awardsblogging round up 2bottled water market health BUPA APOSburnham depth out of andy swine flu waiting listscentralisation health care better? traumaconsultation NHS Labour worthingcorruption rot career politicians bma fielden bergercrockard resignsdarzi dumb down polyclinicsdeath rattle ambulance NHSdementia care elderlydementia spin lobby industrydemondentistry NHSdonaldson cmo mtas mmc referral GMC remedy ukdr scott corrupt system failure NHSdumbing down debatedumbing down nurse doctor idiotsdvt pe prophylaxis clotsempowering ignorant nurse quacksempowerment HCPs NHS dumbing downferret 2008 comments beds fullferret christmas 2007ferret fancier honours list 2010ferretsfirstflexible labour marketfoundation training mmc dumbing down venflonsgovernment GP contract BBCgovernment misuse drugs ACMD policy ignore expert advicehand washing scotlandhappy new yearhealth care hospital regulationhealth nhs white paperhealthspeak practitionerheckler Hewittheckler speaks outhewitt mmc parliamentary debatehospital at night team spin bmj propaganda awardsincompetence labour jobsworth stalinist regime NHS consultants nursesiraq wmd campbelljasper gerard guardianjoinr replacement surgery patient torturejunior doctors exploited NHS newsking's fund independent my arselabour corrupt BNP democracy failing NHSlansley white paper dr no clause 2lazy logic dumbing down argumentliz paice unaccountable leaders MMC MTASlord hunt lies MMC MTASmad assessment patient satisfactionmarch MMC MTAS remedymass mtas exodus mmcmedia NHSmedical student GMC court failing dyslexiamedical training dustbin NHSmetastatic NHS Employersmonkey lists waiting NHSmrsa infection controlnhs agency staff billion poundsnhs fisher price pharmacistnhs quality darzi surgery specialistnhs reform failednhs waste inefficiency pcts doh monkeysnhs white paper lansley idiotnhs work force mmc ewtd short staffed rotasnick cohen guardian bloggingno beds McKinsey GPs market hospitals shutnurse WIC death childnurse pharmacist prescribing CSM DOHnurse practitioner GMC accountabilitynurse practitioner quacks dumbing downnurse prescribers consultation flawnurses DNAR decisionnursing crisis degree standard 2010 NHSnutt prof brown johnsonnutt sacked alan johnsonobesity fatties fat uk problemorgan donation NHSour NHS my derriere Darziover NHS and overpatient satisfaction survery rate MDpoliticians managers NHSpolitics NHS iraq david kellypolitics corrupt heath nhs no choice votepolly toynbee guardianpolysystems NICE moreprescribing powers nurses dumbing downprof morris brown mtas remedypulse daily mail hacks gpsquackery patricia peat cancer options chris etheridgequacks NHS dumbing downquacks skills escalator doctors tookereinventing the turd MMC Calman SR graderelexology telegraph pap hackingremedy mass lobbyreporting radiographer XRAYs NHS powerroche dodgy dossier evidence tamifluround up targetsrut NHS 60th birthdaysarah thomas ppt MTAS farcesciencescientologyscottygate two needham bmj lettershoddy bbcsian thomas mtas 2008sick feverish child NICEsimon ecclessimon singh victory libel law reformskills for health NHSskills framework NHS dumbing downspaghetti crippen vaccinationsstudent adviser crockard lettersun watchsunday times investigation hewitttargets NHS cancer mortalitythinking bloggerturd DoH skills for health FOIwhite paper nhs grumblewill these idiots learn? MMC MTAS 2008workforce issues MMC staffingworld class commissioning PBCa ranting vehicle to drive where the moment takes mehttp://ferretfancier.blogspot.com/noreply@blogger.com (Garth Marenghi)Blogger568125tag:blogger.com,1999:blog-610428148049675668.post-919064893510217922Fri, 19 Jan 2018 17:06:00 +00002018-01-19T17:06:57.382+00:00 Above is a response from the Department of Health (DH) to my MP, Layla Moran who very kindly sent them a question about pre-conditions to negotiation of the junior doctor contract.  The background to this is complex but this specific issue can be summarised fairly concisely.  Jeremy Hunt has repeatedly stated that there were never any 'pre-conditions' to negotiating the junior http://ferretfancier.blogspot.com/2018/01/hunt-lied-and-dh-continue-to-hide-truth.htmlnoreply@blogger.com (ben)9tag:blogger.com,1999:blog-610428148049675668.post-2875216033796663968Thu, 18 Jan 2018 12:43:00 +00002018-01-18T12:49:05.425+00:00 There's no doubt that some of the most used cliches are so widely used for a reason, probably relating to them holding a fair bit of the truth fluid.  I think the cliche along the lines of 'you learn most about yourself when times are tough' is a pretty good one.  Where am I heading with this?  Well I think you can apply it to those within a system in positions of power during http://ferretfancier.blogspot.com/2018/01/the-nhs-crisis.htmlnoreply@blogger.com (ben)3tag:blogger.com,1999:blog-610428148049675668.post-6905214210043422849Fri, 18 Aug 2017 17:47:00 +00002017-08-18T18:47:09.913+01:00 So the Shape of Training Steering Group have published their final report and I think it's fair to say it's a massive improvement on Professor Greenaway's disastrous first draft.  My summary article in the BMJ from 2015 summarises the huge problems with the initial report and the rather dubious political influence upon the review that was taking place off the public record. The most http://ferretfancier.blogspot.com/2017/08/the-dampest-squib-shape-of-training.htmlnoreply@blogger.com (ben)3tag:blogger.com,1999:blog-610428148049675668.post-3585523161629670684Tue, 18 Jul 2017 13:51:00 +00002017-07-18T14:51:16.054+01:00 I've been reading Rachel Clarke's book over the last few evenings and this is what has inspired me to ramble on the blog today.  The mixture of humanity, sharp analysis and reasoned argument makes Rachel's excellent book absolutely essential for anyone interested in medicine, the NHS or healthcare.  The way in which the government have ignored precisely this kind of incisive http://ferretfancier.blogspot.com/2017/07/breathtaking-incompetence-monumental.htmlnoreply@blogger.com (ben)2tag:blogger.com,1999:blog-610428148049675668.post-1606637791707675825Fri, 14 Apr 2017 10:50:00 +00002017-04-14T11:50:04.824+01:00 The BMJ does publish some very insightful work at times, I particularly enjoyed Iona Heath's recent piece on 'conflicts of interest within England's NHS': "Although definitions and guidance about what to declare are useful, the real challenge facing individual clinicians and employers is to find a way to declare interests in a practical and meaningful way. " I couldn't agree more and the http://ferretfancier.blogspot.com/2017/04/the-bmj-talks-good-talk.htmlnoreply@blogger.com (ben)2tag:blogger.com,1999:blog-610428148049675668.post-574662544332553609Mon, 13 Mar 2017 13:28:00 +00002017-03-13T13:28:44.667+00:00 I read the latest edition of JTO with interest and noted the comments from the Editor regarding 'physician associates', as well as the feature by Anandu Nanu.  Certainly it is possible that other allied healthcare professionals can be used to provide valuable service and this can potentially improve the training of junior doctors; perhaps medical support workers can be more cost effective http://ferretfancier.blogspot.com/2017/03/my-thoughts-on-physician-associates-et.htmlnoreply@blogger.com (ben)0tag:blogger.com,1999:blog-610428148049675668.post-3952512842179523187Tue, 11 Oct 2016 15:34:00 +00002016-10-12T09:54:38.328+01:00 Much has been said about the HSJ roundtable discussion last week, indeed the HSJ's piece relating to this discussion is due in the next few days.  So I hear you asking, why am I asking so many questions and probing the exact context to this roundtable event?  Firstly this tweet aroused my suspicions, this was tweeted at the end of last week by the HSJ's editor Alastair McLellan: Ithttp://ferretfancier.blogspot.com/2016/10/how-to-be-healthy-and-smoke-cigarettes.htmlnoreply@blogger.com (ben)2tag:blogger.com,1999:blog-610428148049675668.post-8759912632877159047Wed, 05 Oct 2016 10:02:00 +00002016-10-05T11:02:17.676+01:00 First to set the scene, after years of failed negotiation the government has encouraged NHS Trusts to impose a new contract of employment upon junior doctors despite it being rejected by a majority of 58% in a recent contract referendum.  Much in the same way that clinical errors often require a catalogue of failures from multiple individuals, this junior doctor contract dog’s dinner http://ferretfancier.blogspot.com/2016/10/the-problem-with-jeremy-hunt-and-his.htmlnoreply@blogger.com (ben)1tag:blogger.com,1999:blog-610428148049675668.post-1752388040242884618Thu, 09 Jun 2016 08:49:00 +00002016-06-09T09:49:01.513+01:00 This post may be unpleasant reading for some of you but frankly it needs to be said given the way some of the 'debate' is heading. Firstly I'm not going to spin cheap sound bites and propaganda in order to push your opinion into voting 'Yes' or 'No'. It has been clear throughout all this that we are all big enough and ugly enough to analyse the evidence to make up our own minds. Secondly http://ferretfancier.blogspot.com/2016/06/my-thoughts-on-junior-doctor-contract.htmlnoreply@blogger.com (ben)1tag:blogger.com,1999:blog-610428148049675668.post-7141011525843780565Wed, 23 Mar 2016 18:38:00 +00002016-03-23T18:38:54.967+00:00 Background The government is currently in the process of unilaterally imposing a contract on the junior doctors of England.  The Scottish, Welsh and Northern Irish government have decided it is not in the public interest to do the same.  The Review Body on Doctors’ and Dentists’ Renumeration (DDRB) report published in July 2015 forms the backbone for the government’s rationale for http://ferretfancier.blogspot.com/2016/03/junior-doctor-contract-imposition-is.htmlnoreply@blogger.com (ben)0tag:blogger.com,1999:blog-610428148049675668.post-7347098438573352068Sun, 14 Feb 2016 09:12:00 +00002016-02-14T09:13:48.985+00:00 The government are on the run, the NHS is struggling and they are being exposed as dishonest and incompetent on multiple fronts. The government recently breached the 18 week target for the first time ever and NHS satisfaction ratings are dropping rather rapidly. A great example of their overt incompetence and dishonesty is the fact that contract reform is 7 day expansion of services http://ferretfancier.blogspot.com/2016/02/david-camerons-7-day-services-on-cheap.htmlnoreply@blogger.com (ben)0tag:blogger.com,1999:blog-610428148049675668.post-9134915734525227944Wed, 06 Jan 2016 12:41:00 +00002016-01-06T12:41:27.391+00:00 http://ferretfancier.blogspot.com/2016/01/why-did-david-cameron-ignore-warnings.htmlnoreply@blogger.com (ben)1tag:blogger.com,1999:blog-610428148049675668.post-6574075491274626961Mon, 04 Jan 2016 19:23:00 +00002016-01-04T19:23:16.079+00:00 Dear Jeremy Hunt,                                                 We are writing this letter as we have serious concerns regarding the DDRB report relating tohttp://ferretfancier.blogspot.com/2016/01/the-letter-from-over-700-individuals.htmlnoreply@blogger.com (ben)0tag:blogger.com,1999:blog-610428148049675668.post-8045749533024400322Sat, 28 Nov 2015 09:59:00 +00002015-11-28T09:59:12.739+00:00 Sadly despite our common goal of improving NHS care, talks between our union, the BMA, and government broke down many months ago due for reasons which have yet to become fully clear.  Recently the overtly hostile and aggressive mode of the government’s ongoing threat of unilateral contract imposition upon junior doctors has been particularly morale sapping and depressing to endure. http://ferretfancier.blogspot.com/2015/11/words-of-not-so-junior-doctor.htmlnoreply@blogger.com (ben)0tag:blogger.com,1999:blog-610428148049675668.post-580345025170357480Sun, 08 Nov 2015 09:54:00 +00002015-11-08T09:55:47.996+00:00 Dear Mail Group I am writing for several reasons, all under the same general umbrella of admiration for your mighty journalistic tradition which invariably serves the public interest above all else.  It is most excellent that you are now taking such an interest in the junior doctor contract story, particularly the way in which you are now focusing on the characters involved, it is most http://ferretfancier.blogspot.com/2015/11/dear-mail-group.htmlnoreply@blogger.com (ben)0tag:blogger.com,1999:blog-610428148049675668.post-6894867120152289398Sat, 07 Nov 2015 09:49:00 +00002015-11-07T09:49:33.033+00:00 Dear Health Education England I am writing in response to the message sent by Jeremy Hunt, the Secretary of State for Health, which was sent out to all junior doctors by you on the 4/11/2015.  It is most excellent that there is now a direct channel of communication between junior doctors and Mr Hunt.  As you now appear to be acting as his intermediary, I would be very grateful if http://ferretfancier.blogspot.com/2015/11/letter-for-jeremy-hunt-via-hee.htmlnoreply@blogger.com (ben)2tag:blogger.com,1999:blog-610428148049675668.post-8732103922144139996Fri, 24 Jul 2015 17:36:00 +00002015-07-24T18:36:53.475+01:00This is the full response I have received from the DH: "Our ref: DE00000948527    Dear Mr Dean,   Thank you for your recent correspondence to the Department of Health about the image used in a tweet posted on 17 July.  I have been asked to reply.The Department has looked carefully at this matter and what took place was an entirely unintentional mistake.  The http://ferretfancier.blogspot.com/2015/07/dh-miss-point-and-fail-to-apologise-for.htmlnoreply@blogger.com (ben)1tag:blogger.com,1999:blog-610428148049675668.post-9051677485268974751Sat, 18 Jul 2015 14:07:00 +00002015-07-18T15:18:34.139+01:00   Jeremy Hunt is not having a great day and my heart bleeds.  Having attacked and denigrated NHS staff as he continues his campaign of destroying the NHS as a publicly delivered service, poor Jeremy made the error of tweeting a photo of himself posing within a hospital ward with hospital staff. Unfortunately for Jeremy he tweeted this photo and contained within was a board listing http://ferretfancier.blogspot.com/2015/07/jeremy-hunt-tweets-photo-with-in.htmlnoreply@blogger.com (ben)3tag:blogger.com,1999:blog-610428148049675668.post-7098644337751975066Mon, 06 Jul 2015 18:52:00 +00002015-07-06T19:52:57.011+01:00 Here is my response to the GMC consultations on 'credentialing' and 'generic professional capabilites':   "Dear GMC As regards the two consultations: Firstly as regards credentialing, the whole premise behind your goals is flawed.  There is no proven benefit to introducing credentialing.  It simply cannot be assumed that introducing credentialing will enhance regulation http://ferretfancier.blogspot.com/2015/07/gmc-consulations-please-respond.htmlnoreply@blogger.com (ben)0tag:blogger.com,1999:blog-610428148049675668.post-2082317668614394712Sun, 28 Jun 2015 15:49:00 +00002015-06-28T16:49:32.257+01:00 "The GMC Media Team   The Media Team work with colleagues across the organisation to promote the work of the GMC; and they have direct relationships with a variety of journalists, from both national organisations and specialist publications.   There are 4 different roles within this team and the staff resources have been allocated as follows:   ·    &nbsphttp://ferretfancier.blogspot.com/2015/06/gmc-spend-on-media-relations.htmlnoreply@blogger.com (ben)0tag:blogger.com,1999:blog-610428148049675668.post-9026106852034195605Sun, 17 May 2015 07:50:00 +00002015-05-17T08:50:57.700+01:00 "The independent Shape of Training review was established by the four governments of the UK and was supported by a number of organisations including Health Education England, The Medical Schools Council, NHS Education Scotland and The Academy of Medical Royal Colleges. It was the GMC’s role as the secretariat to arrange meetings with a whole range of organisations to enable them to discuss the http://ferretfancier.blogspot.com/2015/05/niall-dicksons-response.htmlnoreply@blogger.com (ben)0tag:blogger.com,1999:blog-610428148049675668.post-168354738273816269Mon, 11 May 2015 19:53:00 +00002015-05-11T20:53:08.815+01:00 This week the BMJ published my opinion piece on the 'Shape of Training' review: "The GMC spent more than £4000 on legal fees in resisting my freedom of information request. The court also commented on information obtained from the GMC’s internal correspondence that did not relate to the Shape of Training review: “The evidence was that at one meeting an individual sought an assurance that http://ferretfancier.blogspot.com/2015/05/due-process-or-lack-of-it-and-shape-of.htmlnoreply@blogger.com (ben)0tag:blogger.com,1999:blog-610428148049675668.post-5789667643461850454Fri, 27 Feb 2015 10:15:00 +00002015-02-27T10:15:46.518+00:00   Anyone who reads this blog will be aware of the Shape of Training review, irrelevant of this I would strongly advise you have a glance at this excellent piece in the BMJ exposing several critical flaws of the review.  It is worth reiterating that Shape's critical flaws include its methodology, its lack of transparency, its flimsy evidence base and its dangerous recommendations. Ithttp://ferretfancier.blogspot.com/2015/02/more-on-shape-and-well-done-tom-dolphin.htmlnoreply@blogger.com (ben)0tag:blogger.com,1999:blog-610428148049675668.post-325800333364457212Thu, 05 Feb 2015 15:18:00 +00002015-02-05T15:52:57.126+00:00   So many straw man have been put forward in an attempt to justify the potentially disastrous 'Shape of Training' (ShOT) review's recommendations, that it is slightly tricky to know where to start.  It is also important to acknowledge from the start that it is impossible to discuss these issues logically with some people, much in the same way that it is impossible to debatehttp://ferretfancier.blogspot.com/2015/02/the-straw-men-of-shape-of-training.htmlnoreply@blogger.com (ben)0tag:blogger.com,1999:blog-610428148049675668.post-6263750453503727610Mon, 02 Feb 2015 15:32:00 +00002015-02-02T15:32:05.167+00:00   The Shape of Training was an 'independent' review of medical training chaired by an economist, Professor Greenaway, which reported at the end of 2013 is currently in the process of being implemented by government.The review was less than fully transparent in revealing the potential influence of government during the review process.  There are a number of other problems with the http://ferretfancier.blogspot.com/2015/02/please-sign-on-and-support-high-quality.htmlnoreply@blogger.com (ben)0